Individual provider Active NPI

Jake Rubenstein, MD

  • Surgery Physician
  • Huntington, WV
National Provider Identifier
1063869154
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
31601 Issued in WV
Practice address
3075 US Route 60 Ste D235
Huntington, WV 25705-8859
Phone
(304) 528-4600
NPI assigned
May 18, 2016
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 7YC 966 WV
Surgery Physician 208600000X 31601 WV Primary

Addresses

Primary practice location

3075 US Route 60 Ste D235
Huntington, WV 25705-8859

Mailing address

3075 US Route 60
Huntington, WV 25705-8859
Phone (304) 528-4600

Other practice location 1

3200 MacCorkle Ave SE
CAMC Memorial Hospital
Charleston, WV 25304-1227
Phone (304) 388-5590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220924000288 WV Practitioner - General Surgery 9537410741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Mary's Himg, LLCGroup PAC ID 8729406459, 80 clinicians

Practice addresses (Care Compare)

147 Willow Tree Way
Hurricane, WV 25526-1085
Phone (304) 697-6000

2900 1St Ave
Huntington, WV 25702-1241
Phone (304) 399-2600

3075 US Route 60
Huntington, WV 25705-8859
Phone (304) 528-4600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)13
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7YC 966WVMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary's Himg, LLC CurrentSince Sep 1, 2022 Accepting new patients
Point Pleasant Physician Billing Services Surgery CurrentSince Oct 18, 2023 Accepting new patients
St Marys Medical Center, Inc. PastSince Apr 27, 2025 Accepting new patients
St. Mary's Medical Center Inc Past Accepting new patients

Locations

3075 US Route 60
Huntington, WV 25705
Phone (304) 733-0004

3075 US Route 60
Ste D235
Huntington, WV 25705
Phone (304) 526-1234

147 Willow Tree Way
Hurricane, WV 25526
Phone (304) 397-3002

2520 Valley Dr
Pt Pleasant, WV 25550
Phone (304) 675-1020

2520 Valley Dr
Ste 113
Pt Pleasant, WV 25550
Phone (304) 675-1020

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/704af85e-ff7f-4141-a47d-5f79ab640202/
  • Direct secure messaging: jake.rubenstein@pvhhealth.direct.wvhin.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1063869154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 US ROUTE 60",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257058859",
            "telephone_number": "304-528-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 US ROUTE 60 STE D235",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257058859",
            "telephone_number": "304-528-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 MacCorkle Ave SE",
            "address_2": "CAMC Memorial Hospital",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253041227",
            "country_code": "US",
            "telephone_number": "304-388-5590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBENSTEIN",
        "first_name": "JAKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-18",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WV",
            "license": "7YC 966",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WV",
            "license": "31601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.